title: Involvement of a novel GATA4 mutation in atrial septal defects.
abstract: Atrial septal defect (ASD) is one of the most common types of congenital heart disease and is associated with a significant increase in the morbidity and mortality of affected individuals. Accumulating evidence indicates that genetic defects play important roles in the pathogenesis of congenital ASD. However, ASD is genetically heterogeneous and the genetic determinants for ASD in the majority of the patients remain to be identified. In this study, the entire coding region of GATA4, a gene encoding a zinc-finger transcription factor crucial to embryogenesis, was initially sequenced in 120 unrelated patients with ASD. The available relatives of patients carrying the identified mutation and 200 ethnicity-matched unrelated control individuals were genotyped. The functional characteristics of the GATA4 mutant were compared to its wild-type counterpart using a luciferase reporter assay system. A novel heterozygous missense GATA4 mutation, p.G21V, was identified in 2 unrelated families with ASD, which was not detected in the control population nor reported in the human gene mutation database. Alignment of multiple GATA4 proteins displayed that the affected amino acid residue was highly conserved across species. Functional analysis showed that the p.G21V GATA4 mutation was associated with a decreased transcriptional activity. The findings underscore the pathogenic link between compromised GATA4 function and congenital ASD, providing new insight into the molecular mechanism involved in this common form of congenital cardiovascular anomalies.
authors.affiliation: Department of Pediatrics, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, PR China.
authors.forename: Xing-Yuan
authors.initials: XY
authors.lastname: Liu
authors.forename: Juan
authors.initials: J
authors.lastname: Wang
authors.forename: Jing-Hao
authors.initials: JH
authors.lastname: Zheng
authors.forename: Kai
authors.initials: K
authors.lastname: Bai
authors.forename: Zhong-Min
authors.initials: ZM
authors.lastname: Liu
authors.forename: Xiao-Zhou
authors.initials: XZ
authors.lastname: Wang
authors.forename: Xu
authors.initials: X
authors.lastname: Liu
authors.forename: Wei-Yi
authors.initials: WY
authors.lastname: Fang
authors.forename: Yi-Qing
authors.initials: YQ
authors.lastname: Yang
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D002417:Cattle; D004285:Dogs; D005260:Female; D050991:GATA4 Transcription Factor / Q000235:genetics*; D006344:Heart Septal Defects, Atrial / Q000235:genetics* / Q000473:pathology; D006579:Heterozygote; D006801:Humans; D008297:Male; D051379:Mice; D008969:Molecular Sequence Data; D020125:Mutation, Missense / Q000235:genetics*; D010375:Pedigree; D051381:Rats
chemical_list: D050991:GATA4 Transcription Factor; C484170:GATA4 protein, human